CMS F-tag

F635: Assessment & care planning

Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Cited 220 times at 208 nursing homes in the last three inspection cycles.

#138 of 242 tags9% caused harm35 statesLatest survey Dec 17, 2025

How F635 shows up in inspections

F-TAGF635#138 of 242 tagsRarely cited

How serious it usually is

  • Immediate jeopardyJ · K6.4%14
  • Actual harmG2.3%5
  • No actual harmD · E90.9%200
  • Minimal harmB0.5%1

9% of F635 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 220Citations
  • 208Facilities cited1% of rated nursing homes

Citations by survey year

  • 20182
  • 20196
  • 20202
  • 20214
  • 202217
  • 202369
  • 202460
  • 202560

Partial years reflect the rolling three-cycle window, not a change in enforcement.

Where F635 is cited most

Survey agencies differ in what they emphasize, so compare a facility with its own state. Shares are the portion of each state’s rated nursing homes with at least one F635 citation.

States by share of facilities cited

  • Texas5% of homes59 citations · 56 of 1,167 facilities
  • California2% of homes23 citations · 23 of 1,154 facilities
  • Florida3% of homes19 citations · 18 of 689 facilities
  • Michigan4% of homes17 citations · 15 of 420 facilities
  • Virginia5% of homes14 citations · 13 of 285 facilities
  • Indiana2% of homes12 citations · 11 of 504 facilities
  • Ohio1% of homes9 citations · 8 of 911 facilities
  • Delaware12% of homes6 citations · 5 of 43 facilities
  • Illinois1% of homes6 citations · 6 of 665 facilities
  • Alabama2% of homes5 citations · 5 of 223 facilities

Top 10 of 35 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Space Coast Healthcare and Rehabilitation CenterMerritt Island, FL · Report card2 F6351 with harm
  2. Springfield Health & RehabSpringfield, VT · Report card2 F6351 with harm
  3. Wilmington Nursing & Rehabilitation CenterWilmington, DE · Report card2 F6351 with harm
  4. Bridgepointe Health CampusVincennes, IN · Report card2 F635No harm
  5. Ignite Medical Resort San Antonio, LLCSan Antonio, TX · Report card2 F635No harm
  6. Lyndon CrossingLouisville, KY · Report card2 F635No harm
  7. Majestic Care of Point PlaceToledo, OH · Report card2 F635No harm
  8. Optalis Health and Rehabilitation of TroyTroy, MI · Report card2 F635No harm
  9. Rambling Oaks Courtyard Extensive Care CommunityHighland Village, TX · Report card2 F635No harm
  10. Summit Health and Rehab CenterLynchburg, VA · Report card2 F635No harm
  11. The Manor of Farmington HillsFarmington Hills, MI · Report card2 F635No harm
  12. Wedgewood Nursing HomeFort Worth, TX · Report card2 F635No harm
  13. Avante at Melbourne INCMelbourne, FL · Report card1 F6351 with harm
  14. Brownsville Nursing and Rehabilitation CenterBrownsville, TX · Report card1 F6351 with harm
  15. Corinth Rehabilitation Suites on the ParkwayCorinth, TX · Report card1 F6351 with harm

What to ask a facility about a F635 citation

  1. What exactly did the surveyor find, and on what date? The report card shows the date and the severity letter.
  2. What was the plan of correction, and was it accepted by the state on the first submission?
  3. Has the same tag been cited in more than one cycle? Repeat citations matter more than a single one.
  4. If the letter was G or higher: what happened to the resident, and what changed in staffing or process?

Source: CMS Provider Data Catalog, Nursing Home Health Citations, current three inspection cycles, most recent survey Dec 17, 2025. Counts are citations unless labeled facilities.

Frequently asked questions

What is F635 in a nursing home inspection?
F635 is the CMS F-tag for the requirement "Provide doctor's orders for the resident's immediate care at the time the resident was admitted." (Assessment & care planning). Surveyors cite it when a facility is found out of compliance with that regulation during a standard survey or complaint investigation.
How common is F635?
F635 was cited 220 times at 208 facilities (1% of rated nursing homes) in the last three inspection cycles, ranking #138 of 242 tags. 19 of those citations involved actual harm or immediate jeopardy.
Does a F635 citation mean the facility is unsafe?
Not on its own. Read the scope and severity letter: D through F means no actual harm was found, G through I means a resident was harmed, and J through L means immediate jeopardy. Ask the facility what was cited, what was corrected, and when.

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